Provider Demographics
NPI:1851739452
Name:THOMAS, LAURA CHRISTINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:CHRISTINE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 S LASKY DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1721
Mailing Address - Country:US
Mailing Address - Phone:310-551-1090
Mailing Address - Fax:310-551-1308
Practice Address - Street 1:153 S LASKY DR
Practice Address - Street 2:SUITE 5
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1721
Practice Address - Country:US
Practice Address - Phone:310-551-1090
Practice Address - Fax:310-551-1308
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA284971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice